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Deactivated NPI 1558430769 Deactivated / Inactive NPI Male Practitioner

Thomas Daniel , MSW LICSW

Psychologist • Buffalo, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Daniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 06, 2006
NPI Deactivation Date December 19, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Thomas Daniel, MSW LICSW was a registered Psychologist practicing in Buffalo, MN. Throughout an active medical career spanning 18 years, Thomas Daniel provided care at the practice location at 1200 HIGHWAY 25 N until profile deactivation on 2024-12-19.

Historical Medicare Part B clinical services included psychotherapy for crisis, psychotherapy for crisis, first hour. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1200 Highway 25 N
Suite 108

Buffalo, MN 553132930

Telephone 7636822011
Fax 7636822165
Associated Practice Facility / Clinic
🏢 Neve Inc Facility NPI 1770713935

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Buffalo, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Buffalo, MN (1833 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90840 Psychotherapy for crisis, each additional 30 minutes
24 11 $150.00 $45.44
90839 Psychotherapy for crisis, first hour
14 13 $300.00 $95.19

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN 11618

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jonathan Barcus

Hearing Instrument Specialist

NPI 1376197426
Cleo Boll , MA, LMFT

Counselor - Mental Health

NPI 1568543635

Master of Arts, Licensed Marriage and Family Therapist

NPI 1922134188

MACCCA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 19, 2024

Record deactivated on December 19, 2024

NPI Profile Active June 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2010

Registered at 1200 HIGHWAY 25 N, SUITE 108, BUFFALO, MN 553132930 (Tel: 7636822011)

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Updated Business Mailing Address June 11, 2010

Registered at 1200 HIGHWAY 25 N, SUITE 108, BUFFALO, MN 553132930 (Tel: 7636822011)

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Provider Name / Credentials Updated June 11, 2010

Recorded as THOMAS DANIEL, MSW LICSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2010

Psychologist (License #11618 in MN)

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Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558430769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: June 11, 2010
Deactivation Date: December 19, 2024

Mailing Address

1200 Highway 25 N, Suite 108

Buffalo, MN 553132930

Phone: 7636822011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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